The crash happened at about 8:30 a.m. about one mile west of Ensign Road.

Authorities say Dennis O. Kent, 53, of Tomah, was traveling eastbound on ST HWY 21 in a 1993 Chevy Sport Van when it crossed the centerline and collided with a 2007 Chevy K2500 pickup going westbound.

Kent was Med-lifted to St. Joe's Hospital in Marshfield, with severe injuries. Joshua S. Kent, 13, of Tomah, was the passenger in the Chevy Sport Van. He was transported to Tomah Memorial Hospital and was later transferred to Gundersen Health System in La Crosse, with non-life-threatening injuries.

The Monroe County Sheriff's Office says the driver of the pickup truck, Michael R. Rogers, 36, of Adams, was transported to Tomah Memorial Hospital and was then transferred to Gunderson Health System in La Crosse, with non-life threatening injuries.

Authorities say the Chevy Sport Van also collided with a 1999 Dodge Ram 1500. The driver of that vehicle was not injured in the crash.

The Office was assisted by the Oakdale Fire Department and Oakdale First Responders, the Tomah Area Ambulance Service, Tomah Police Department, Monroe County Highway Department, the Wisconsin DBR, Warrens Fire Department, Mayo Air out of Rochester, Spirit Air out of Marshfield, Monroe County 9-1-1 Communication Center and the Wisconsin State Patrol Reconstruction Unit.

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